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General NPI Number Information
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NPI Number | 1134153737
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Entity Type | Organization
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Legal Business Name | ATLANTA NEUROLOGICAL ASSOCIATES PC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 300 PRIME PT STE 101
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-6851
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Country | US
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Telephone | 770-486-7195
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Fax | 770-486-9414
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Provider Business Mailing Address
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Address Line | 300 PRIME PT STE 101
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-6851
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Country | US
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Telephone | 770-486-7195
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Fax | 770-486-9414
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM S BIKOFF
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Credential | MD
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Telephone | 770-929-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 019484
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License Number State | GA
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